Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.29 / $108.76 / $693.94	Facility		$3.29	$108.76	$693.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $2.50 / $45.03	Professional		$2.37	$2.50	$45.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.74 / $3.92	Professional		$2.11	$2.74	$3.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.47 / $2.68 / $85.00	Facility		$2.47	$2.68	$85.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.47 / $5.03	Professional		$2.47	$2.47	$5.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.47 / $2.47 / $3.95	Facility		$2.47	$2.47	$3.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.47 / $3.95	Professional		$2.11	$2.47	$3.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.33 / $2.33 / $2.47	Facility		$2.33	$2.33	$2.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.47 / $10.91	Professional		$2.47	$2.47	$10.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $4.92 / $92.99	Professional		$2.69	$4.92	$92.99
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $8,739.20 / $20,293.73 / $30,595.63	Facility		$8,739.20	$20,293.73	$30,595.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.62 / $4.69 / $11.58	Professional		$2.62	$4.69	$11.58
United Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.47 / $3.29	Professional		$2.47	$2.47	$3.29